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According to the Centers for Disease Control and Prevention, every year, millions of patients acquire infections while receiving care, treatment, and services in health care organizations (The Joint Commission, 2016). Infection prevention and treatment is a challenge in the current health care system, and the increase of MDRO further complicates this task. My hospital is a bone marrow transplant (BMT) center. Last year, many of our immunocompromised BMT patients were developing HAI, including C. difficile, resulting in transfer to critical care units. Due to this compromise of patient safety, our facility invested in two Xenex devices, and has since reported that the HAI rate has substantially decreased in our patient population. My facility is a great example of an organization that embraces new technology to further their commitment to a safety culture. The cost of these devices pales in comparison to the cost of HAIs and the poor outcomes associated with them.

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Hosein, I., Madeloso, R., Nagaratnam, W., Villamaria, F., Stock, E., & Jinadatha, C. (2016).
Evaluation of a pulsed xenon ultraviolet light device for isolation room disinfection in a
United Kingdom hospital. American Journal of Infection Control, 44. E157-e161.
http://dx.doi.org/10.1016/j.ajic.2016.01.044
The Joint Commission (2016). National patient safety goals effective January 1, 2016:
Hospital accreditation program. Retrieved from
https://www.jointcommission.org/assets/1/6/2016_NPSG_HAP.pdf
Nerandzic, M. M., Thota, P., Sankar, T., Jencson, A., Cadnum, J. L., Ray, A. J., … Donskey, C. J.
(2015). Evaluation of a pulsed xenon ultraviolet disinfection system for reduction of
healthcare-associated pathogens in hospital rooms. Infection Control & Hospital
Epidemiology, 36(2), 192-197. http://dx.doi.org/10.1017/ice.2014.36
Zimmerman, E. (January 26, 2012). Robot cleaner a ‘game changer’ for hospital infection
epidemic. CNN Money. Retrieved from
http://money.cnn.com/2012/01/26/technology/xenex_robot/

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·      PX-UV efficacy reduced as distance from device
increased (it is recommended that commonly
touched items be arranged close to device)
(Nerandzic et al., 2015).

·      Each Xenex costs about $80,000, and they can
be bought or leased. An average-sized hospital
with 120 beds would require two devices to
clean all its rooms (Zimmerman, 2012).

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Frequently touched surfaces in hospital rooms

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Frequently touched surfaces in hospital rooms

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cellular damage at different wavelengths to disinfect across the entire spectrum.

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·      Reduced recovery of MDRO on frequently touched surfaces in hospital rooms, including
methicillin-resistant Staphylococcus aureus (MRSA), Clostridium difficile spores,
vancomycin-resistant Enterococcus (VRE), multidrug-resistant Acinetobacter, and
carbapenemase-producing Enterobacteriaceae (CPE) (Hosein et al., 2016;
Nerandzic et al., 2015)

·      PX-UV lamps do not contain mercury, unlike their ultraviolet-C irradiation bulb
counterparts (Nerandzic et al., 2015).

·      Minimal disruption to patient flow (Hosein et al., 2016)

·      Well received by hospital cleaning and unit staff (Hosein et al., 2016)

·      Short, 10-minute exposure time (Nerandzic et al., 2015)

·      Several safety mechanisms to prevent accidental UV exposure

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The Joint Commission National Patient Safety Goals for acute care hospitals includes implementing evidence-based practices to prevent health care–associated infections (HAIs) due to multi-drug resistant organisms. HAIs are a costly patient safety issue associated with increased morbidity and mortality. The Xenex pulsed xenon ultraviolet (PX-UV) light device has been shown to decrease pathogens on contaminated surfaces in hospital rooms, including multi-drug resistant organisms (MDRO) (Hosein et al., 2016). This device is linked to health care informatics because it uses innovative automated disinfection technology to support infection control and improve safety in patient care environments.